Organization
OKLAHOMA CVS PHARMACY, L.L.C.
Active
Other names
CVS PHARMACY # 10275
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 765-1500
Entity
Organization
Contact information
Practice address
21 S STRONG BLVD, MCALESTER, OK 74501-4431
(918) 302-0708
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
OK
333600000X
Pharmacy
Primary
—
OK
3336C0003X
Community/Retail Pharmacy
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100233690K
—
OK
01
—
100233690N
DME
OK
01
—
3727522
NCPDP
OK
Enumeration date
08/12/2013
Last updated
04/15/2014
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